4th September 2020

A tall thin 25-year-old individual has presented to Accident and Emergency with acute shortness of breath and chest pain

A tall thin 25-year-old individual has presented to Accident and Emergency with acute shortness of breath and chest pain. On examination, there are diminished breath sounds on the right side of his chest with an increased resonance on percussion of the same side. There are reduced breath sounds in the same area; no other abnormalities are seen on examination. The patient explained that he has had an episode of this previously over a few years ago and was warned to go to A and E if he experienced the symptoms again. What is the most likely diagnosis?  

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.